DALE S BRINK DPM Podiatrist License verification

Business Entity

ACTIVE

License Type

Podiatrist

Description

LICENSED PODIATRY CONTROLLED SUBSTANCE

License Number

31*****88

License Status

ACTIVE

Business

First Name

DALE S

Last Name

BRINK

Suffix

DPM

Business Name

DALE S BRINK DPM

Original Issue Date

03/22/2004

Effective Date

12/18/2024

Expiration Date

01/31/2027

City

SOUTH HOLLAND

State

Zip

60473

County

COOK

Controlled Substance Schedule

II III IV V

Ever Disciplined

LastModifiedDate

04/16/2025